Individual provider Active NPI

Lauren Nicole Macleod, RD

  • Registered Dietitian
  • San Luis Obispo, CA
National Provider Identifier
1912519463
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86088698 Issued in CA
Practice address
411 E Foothill Blvd Apt 1
San Luis Obispo, CA 93405-1669
Phone
(310) 701-9880
NPI assigned
Aug 17, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86088698 CA Primary

Addresses

Primary practice location

411 E Foothill Blvd Apt 1
San Luis Obispo, CA 93405-1669

Mailing address

411 E Foothill Blvd Apt 1
San Luis Obispo, CA 93405-1669
Phone (310) 701-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86088698CAMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1912519463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E FOOTHILL BLVD APT 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051669",
            "telephone_number": "310-701-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E FOOTHILL BLVD APT 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051669",
            "telephone_number": "310-701-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86088698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.